NC Medicaid received approval from the Centers for Medicare and Medicaid Services (CMS) for an extension of the Community Alternatives Program for Children (CAP/C) waiver, which was set to expire Feb. 28, 2022. The CAP/C waiver will continue to be active through the duration of the renewed CAP/C waiver (the end date of the renewed waiver is to be determined).
All services and service limits authorized in the CAP/C waiver are active and available to currently enrolled and newly enrolled participants. All requests for services will be reviewed and will be determined based on individual needs and current and past utilization approvals. Service requests for modifications, such as home and vehicle modifications, do not have a request cutoff date; requests for these services can be submitted at any time while the participant is actively enrolled in the CAP/C waiver.
NC Medicaid is in the process of updating the rates for direct care workers per North Carolina Senate Bill 105 enacted as S.L. 2021-108 in November 2021. Once these rates are updated for direct care workers supporting participants in the CAP/C waiver, the waiver application will be updated to reflect the new rates. Upon completing these updates, the public comment period for this waiver will begin. A draft of the renewed waiver will post for public comment and feedback at that time. The timeline for submitting the renewed waiver to CMS for approval will be communicated after the public comment period expires.
Waiver renewal stakeholder engagement information is available on the NC Medicaid CAP/C webpage.
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